Table 2 Overall survival (OS), progression-free survival (PFS) and time to discontinuations (TTD) of advanced patients with NSCLC receiving osimertinib
N (%) | OS (median, 95% CI) | P value | PFS (median, 95% CI) | P value | TTD (median, 95% CI) | P value | |||
|---|---|---|---|---|---|---|---|---|---|
Overall cohort | 174 (100) | 32.7 (28.5–41.6) | 16.3 (15.0–19.7) | 20.2 (16.2–24.3) | |||||
Age | <65 | 65 (37.4) | 31.4 (24.1–44.5) | 0.724 | 16.0 (13.8–21.7) | 0.618 | 19.7 (15.7– 29.6) | 0.812 | |
≥65 | 109 (62.6) | 35.9 (26.6–49.7) | 17.3 (14.1–24.1) | 20.3 (15.8–25.2) | |||||
Gender | Male | 53 (30.5) | 31.4 (26.4–NA) | 0.802 | 17.3 (14.1–27.4) | 0.782 | 20.3 (15.7–29.6) | 0.790 | |
Female | 121 (69.5) | 35.3 (25.0–44.5) | 16.0 (13.8–20.2) | 19.7 (15.7–24.3) | |||||
Race/ethnicity | Non-Hispanic White | 46 (26.4) | 40.2 (32.6–NA) | 0.268 | 17.3 (15.7–26.4) | 0.863 | 20.5 (16.2–58.0) | 0.268 | |
Non-Hispanic Black | 50 (28.7) | 21.9 (14.6–NA) | 15.6 (13.2–21.4) | 19.7 (14.6–26.6) | |||||
Hispanic | 56 (32.2) | 35.3 (26.3–NA) | 16.1 (10.9–24.2) | 19.6 (11.5–25.2) | |||||
Asian | 22 (12.6) | 32.7 (21.2–NA) | 17.1 (10.2–32.7) | 23.5 (13.9–NA) | |||||
Smoking | Smoker (Former or active) | 77 (44.3) | 35.9 (28.6–NA) | 0.318 | 17.3 (15.0–27.4) | 0.378 | 24.2 (16.2–37.5) | 0.245 | |
Non-smoker | 97 (55.7) | 29.6 (25.0–44.9) | 16.3 (12.1–19.7) | 17.3 (14.5–23.5) | |||||
BMI (kg/m2) | Underweight (BMI < 18.5) | 21(12.1) | 17.4 (13.2–NA) | 0.015 | 15.0 (7.8–18.2) | 0.006 | 15.2 (10.6–NA) | 0.057 | |
Normal weight(BMI 18.5 – 25) | 81(46.6) | 41.6 (32.6–60.1) | 21.1 (15.8–28.7) | 25.2 (17.3–37.5) | |||||
Overweight/obese (BMI > 25) | 72 (41.4) | 31.4 (24.2–NA) | 15.7 (11.9–20.2) | 17.1 (15.4–21.9) | |||||
Insurance | Commercial | 38 (21.8) | 32.6 (21.9–NA) | 0.644 | 15.0 (9.3–28.7) | 0.767 | 16.0 (14.5–34.8) | 0.145 | |
Medicare | 95 (54.6) | 40.2 (28.5–55.7) | 17.3 (15.0–21.4) | 20.8 (17.2–26.4) | |||||
Medicaid | 35 (20.1) | 29.6 (17.7–NA) | 16.0 (8.4–27.8) | 16.5 (13.5–NA) | |||||
Medicare and Medicaid | 6 (3.4) | NA | NA | 6.7 (3.5–NA) | |||||
Household Income by zip code | <50,000 | 82 (47.1) | 29.3 (24.2–47.0) | 0.375 | 17.1 (12.9–21.4) | 0.564 | 17.1 (13.5–24.2) | 0.049 | |
≥50,000 | 92 (52.9) | 37.5 (28.6–55.7) | 16.3 (15.0–21.7) | 21.4 (16.5–37.5) | |||||
ECOG PS | <2 | 129 (74.1) | 40.2 (32.7–59.7) | < 0.001 | 19.1 (16.3–26.4) | <0.001 | 21.9 (19.7–27.7) | <0.001 | |
≥2 | 45 (25.9) | 14.6 (10.0–NA) | 8.3 (6.6–16.1) | 11.5 (7.5–17.2) | |||||
Brain metastases | Yes | 69 (39.7) | 29.3 (24.1–55.7) | 0.649 | 15.6 (12.9–21.1) | 0.252 | 19.6 (14.5–26.1) | 0.554 | |
No | 105 (60.3) | 35.3 (28.5–49.7) | 17.2 (14.6–25.6) | 20.8 (16.6–26.6) | |||||
EGFR mutations | Del 19 | 110(63.2) | 37.5 (28.6–55.7) | 0.368 | 17.2 (13.8–26.4) | 0.082 | 24.3(16.0–34.3) | 0.025 | |
L858R | 45 (25.9) | 31.4(25.0–NA) | 16.3 (15.0–20.5) | 17.3(15.7–24.2) | |||||
Uncommon | 19 (10.9) | 24.1(10.3–NA) | 13.8(5.8–NA) | 14.1(5.67–NA) | |||||
Adherence | PDC ≥ 80% | 14(8.0) | 37.5 (29.6–NA) | 0.356 | 21.1(18.5–35.0) | 0.569 | 26.4 (19.7–NA) | 0.739 | |
PDC < 80% | 62(35.6) | 31.4(17.7–NA) | 16.8(12.9–NA) | 24.3(14.2–NA) | |||||
Histology | Adenocarcinoma | 168(96.6) | 32.7 (26.6–41.6) | 0.802 | 16.3 (14.6–19.7) | 0.729 | 19.6(15.8–24.2) | 0.733 | |
Squamous cell carcinoma | 6(3.4) | 59.7 (21.3–NA) | 18.9 (14.6–NA) | 24.3(20.8–NA) | |||||
Line of therapy with osimertinib | First line | 111 (63.8) | 32.7 (26.4–66.0) | 0.511 | 19.7 (17.1–26.6) | 0.001 | 21.9 (17.2–29.6) | 0.025 | |
Second line or beyond | 63 (36.2) | 35.0 (21.9–47.0) | 13.1 (9.4–16.0) | 15.2 (13.7–25.2) | |||||